Provider Demographics
NPI:1730122995
Name:KAWANO, ESTHER M (MD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:M
Last Name:KAWANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 26049
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-6049
Mailing Address - Country:US
Mailing Address - Phone:808-394-6206
Mailing Address - Fax:808-394-6207
Practice Address - Street 1:1221 KAPIOLANI BLVD
Practice Address - Street 2:SUITE 830
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3515
Practice Address - Country:US
Practice Address - Phone:808-593-9222
Practice Address - Fax:808-593-1033
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD61212084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00A0078871OtherHAWAII MEDICAL SERVICES A
HI0000BFDDJMedicare ID - Type Unspecified
H0000BFDDJMedicare PIN
HIG42700Medicare UPIN